Jensen Marie Crenshaw, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.019397 Issued in IL

Practice address

4201 N Damen Ave
Chicago, IL 60618-3021

Phone

(847) 208-7873

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1740055615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N WOOD ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227452",
            "telephone_number": "317-850-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183021",
            "telephone_number": "847-208-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "JENSEN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.019397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C Cremer, M.D.
• Michael Edward Cremerius, PH.D.
• Bridget Cremins, CCC-SLP
• Laura Marie Cremonesi, MOT, OTR/L
• Clara Crenshaw, OTD
• Jessica Crenshaw
• Eliana Crentsil
• Nicole Henry Creppel, MD
• Kimberly Cresap
• Crescent Grove Counseling

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.